52D0900873 CLIA NUMBER - OPTIMA HEALTH & VITALITY CENTER

Laboratory Demographics

  • CLIA Code: 52D0900873
  • Facility Name: OPTIMA HEALTH & VITALITY CENTER
  • Facility Address: 3321A GOLF ROAD
    EAU CLAIRE, WI
    ZIP 54701
  • Facility Phone: 715 832-1953
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: WILLIAM M. BAUER
  • NPI Number: 1952501520
  • Taxonomy: 111N00000X - Chiropractor

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CLIA Record

Field Name Field Value
CLIA Number 52D0900873
LAB Type Practitioner Other
Facility Name OPTIMA HEALTH & VITALITY CENTER
Street 3321A GOLF ROAD
City EAU CLAIRE
State WI
ZIP 54701
Phone 715 832-1953
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/10/2023
Certificate Expiration Date 5/9/2025
Facility Type Practitioner Other
Lab Director WILLIAM M. BAUER

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This page was last updated on: 3/20/2025